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庞林鸿, 赵雅静, 朵林, 易春秀, 施艺, 唐铭婧, 刘伟, 方家煜, 付宏晨, 郭子宏. 云南省成年居民代谢综合征患病现状及其影响因素分析[J]. 中国公共卫生, 2023, 39(5): 617-621. DOI: 10.11847/zgggws1138579
引用本文: 庞林鸿, 赵雅静, 朵林, 易春秀, 施艺, 唐铭婧, 刘伟, 方家煜, 付宏晨, 郭子宏. 云南省成年居民代谢综合征患病现状及其影响因素分析[J]. 中国公共卫生, 2023, 39(5): 617-621. DOI: 10.11847/zgggws1138579
PANG Linhong, ZHAO Yajing, DUO Lin, . Prevalence and associates of metabolic syndrome among adult residents in Yunnan province, 2021[J]. Chinese Journal of Public Health, 2023, 39(5): 617-621. DOI: 10.11847/zgggws1138579
Citation: PANG Linhong, ZHAO Yajing, DUO Lin, . Prevalence and associates of metabolic syndrome among adult residents in Yunnan province, 2021[J]. Chinese Journal of Public Health, 2023, 39(5): 617-621. DOI: 10.11847/zgggws1138579

云南省成年居民代谢综合征患病现状及其影响因素分析

Prevalence and associates of metabolic syndrome among adult residents in Yunnan province, 2021

  • 摘要:
      目的  了解云南省成年居民代谢综合征(MS)的患病现状及其影响因素,为采取有针对性的MS防控及干预措施提供参考依据。
      方法  于2021年1 — 12月采用多阶段分层随机抽样方法在云南省8个县(区)抽取9600名 ≥ 18岁成年常住居民进行问卷调查、体格检查和实验室检测。
      结果  云南省有效调查的7396名成年居民中,MS患者1210例,MS患病率为16.4%;多因素非条件logistic回归分析结果显示,年龄 ≥ 35岁、有高血压家族史和体质指数(BMI) ≥ 24.0是云南省成年居民MS患病的危险因素,女性是云南省成年居民MS患病的保护因素;MS不同异常组分聚集模式中,云南省成年居民最常见的代谢异常组合为“中心性肥胖 + 血压异常 + 高甘油三酯(TG)”,为397例,患病率为5.37%。
      结论  云南省成年居民MS患病率较高,中老年男性、超重肥胖和有高血压家族史居民为该地区MS防控的重点人群。

     

    Abstract:
      Objective  To investigate the prevalence of metabolic syndrome (MS) and its associated factors among adult residents in Yunnan province, and to provide a reference for the adoption of targeted MS prevention and control measures.
      Methods  Face-to-face interview with a questionnaire developed by National Center for Cardiovascular Diseases, physical examination and laboratory tests were conducted among 9 600 adult permanent residents ( ≥ 18 years of age) recruited in 8 counties (districts) of Yunnan province with stratified multistage random sampling during 2021.
      Results  Of the 7 396 participants surveyed effectively, 1 210 (16.4%) were assessed as suffering from MS. Multivariate logistic regression analysis showed that age ≥ 35 years old, family history of hypertension and with a body mass index (BMI) of ≥ 24.0 were risk factors for MS; while, female gender was a protective factor for MS. Among different aggregation patterns for abnormal components of MS, the most common combination of metabolic abnormalities detected among the participants was “abdominal obesity + elevated blood pressure + high triglycerides”.
      Conclusion  MS is prevalent seriously among adult residents in Yunnan province. Middle-aged and elderly men, persons being overweight or obese, and people with family history of hypertension should be considered as high-risk groups in MS prevention and control.

     

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